ICD-10-PCS Code For Ascending Colon: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DSK includes procedures performed to reposition structures in the ascending colon. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of the ascending colon is moved to its normal location or another suitable location to correct malposition or related anatomic issues. Accurate coding within the ICD-10-PCS 0DSK group is essential for proper inpatient reimbursement, as it captures the procedure performed and ensures clinical documentation accuracy.

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Ascending Colon Reposition Procedure Overview

Procedures in this group involve repositioning all or a portion of the ascending colon within the gastrointestinal system to its normal or another suitable location. These operations correct malposition or related anatomical disruptions of the ascending colon and restore normal function. Accurate coding matters for inpatient reimbursement because it documents the specific operation and anatomical target, which influences case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
S	Operation	Reposition
K	Body Part	Ascending Colon

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ICD-10-PCS Code For Ascending Colon: Procedure Code Group Overview

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Ascending Colon Reposition Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
S	Operation	Reposition
K	Body Part	Ascending Colon

When to Use

Use these codes when an inpatient procedure involves correcting the position of the ascending colon due to malposition, volvulus reduction, or related anatomical displacement. Select a code from this group when the primary operation is repositioning the ascending colon rather than excision, repair, or other distinct operations.

ICD-10-PCS Codes

5 rows

ICD-10-PCS Code	Description
0DSK0ZZ	Reposition Ascending Colon, Open Approach
0DSK4ZZ	Reposition Ascending Colon, Percutaneous Endoscopic Approach
0DSK7ZZ	Reposition Ascending Colon, Via Natural or Artificial Opening
0DSK8ZZ	Reposition Ascending Colon, Via Natural or Artificial Opening Endoscopic
0DSKXZZ	Reposition Ascending Colon, External Approach

DRG Codes

3 rows

DRG Code	Description
344	Minor Small and Large Bowel Procedures with MCC
345	Minor Small and Large Bowel Procedures with CC
346	Minor Small and Large Bowel Procedures without CC/MCC

Typical Clinical Scenarios

An adult presents to the emergency department with acute onset of severe abdominal pain, distention, and vomiting. Imaging demonstrates a volvulus of the ascending colon with compromised orientation but no full-thickness necrosis; the surgical team performs an open laparotomy to detorse and restore the ascending colon to its normal position. Reposition of the ascending colon via an open approach is performed to relieve the obstruction and restore blood flow and alignment. Typical codes: 0DSK0ZZ
An elderly patient with chronic intermittent right-sided abdominal pain and radiologic evidence of a mobile ascending colon scheduled for a planned endoscopic-assisted repositioning to fix recurrent malrotation. The procedure is performed electively using an endoscopic technique through a natural or artificial opening to reposition the ascending colon and reduce recurrent displacement that has failed conservative management. The goal is to restore and secure the ascending colon in the appropriate anatomical location without an open laparotomy. Typical codes: 0DSK7ZZ, 0DSK8ZZ
A patient with prior right hemicolectomy reconstruction presents with postoperative symptomatic malposition of the remaining ascending colon causing obstructive symptoms; percutaneous endoscopic-guided manipulation is used to reposition the residual ascending colon to a more suitable intra-abdominal location. The procedure addresses the anatomic displacement after prior surgery and avoids reoperation when feasible by using a minimally invasive, percutaneous endoscopic approach. Typical codes: 0DSK4ZZ

Related Codes

0DS5-ESOPHAGUS-REPOSITION

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0DS6-STOMACH-REPOSITION

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0DS8-SMALL-INTESTINE-REPOSITION

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0DS9-DUODENUM-REPOSITION

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0DSA-JEJUNUM-MOVING-TO-ITS-NORMAL-LOCATION-JEJUNUM-REPOSITION

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0DSB-ILEUM-REPOSITION

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

0DSE-LARGE-INTESTINE-REPOSITION

ICD-10-PCS Code For Large Intestine: Procedure Code Group Overview

0DSH-CECUM-REPOSITION

ICD-10-PCS Code For Cecum: Procedure Code Group Overview

0DSL-TRANSVERSE-COLON-REPOSITION

ICD-10-PCS Code For Transverse Colon: Procedure Code Group Overview

0DSM-DESCENDING-COLON-REPOSITION

ICD-10-PCS Code For Descending Colon: Procedure Code Group Overview

Showing 1–10 of 13

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

5 rows

ICD-10-PCS Code	Description
0DSK0ZZ	Reposition Ascending Colon, Open Approach
0DSK4ZZ	Reposition Ascending Colon, Percutaneous Endoscopic Approach
0DSK7ZZ	Reposition Ascending Colon, Via Natural or Artificial Opening
0DSK8ZZ	Reposition Ascending Colon, Via Natural or Artificial Opening Endoscopic
0DSKXZZ	Reposition Ascending Colon, External Approach

DRG Codes

3 rows

DRG Code	Description
344	Minor Small and Large Bowel Procedures with MCC
345	Minor Small and Large Bowel Procedures with CC
346	Minor Small and Large Bowel Procedures without CC/MCC

Typical Clinical Scenarios

An adult presents to the emergency department with acute onset of severe abdominal pain, distention, and vomiting. Imaging demonstrates a volvulus of the ascending colon with compromised orientation but no full-thickness necrosis; the surgical team performs an open laparotomy to detorse and restore the ascending colon to its normal position. Reposition of the ascending colon via an open approach is performed to relieve the obstruction and restore blood flow and alignment. Typical codes: 0DSK0ZZ
An elderly patient with chronic intermittent right-sided abdominal pain and radiologic evidence of a mobile ascending colon scheduled for a planned endoscopic-assisted repositioning to fix recurrent malrotation. The procedure is performed electively using an endoscopic technique through a natural or artificial opening to reposition the ascending colon and reduce recurrent displacement that has failed conservative management. The goal is to restore and secure the ascending colon in the appropriate anatomical location without an open laparotomy. Typical codes: 0DSK7ZZ, 0DSK8ZZ
A patient with prior right hemicolectomy reconstruction presents with postoperative symptomatic malposition of the remaining ascending colon causing obstructive symptoms; percutaneous endoscopic-guided manipulation is used to reposition the residual ascending colon to a more suitable intra-abdominal location. The procedure addresses the anatomic displacement after prior surgery and avoids reoperation when feasible by using a minimally invasive, percutaneous endoscopic approach. Typical codes: 0DSK4ZZ

Related Codes

0DS5-ESOPHAGUS-REPOSITION

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0DS6-STOMACH-REPOSITION

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0DS8-SMALL-INTESTINE-REPOSITION

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0DS9-DUODENUM-REPOSITION

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0DSA-JEJUNUM-MOVING-TO-ITS-NORMAL-LOCATION-JEJUNUM-REPOSITION

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0DSB-ILEUM-REPOSITION

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

0DSE-LARGE-INTESTINE-REPOSITION

ICD-10-PCS Code For Large Intestine: Procedure Code Group Overview

0DSH-CECUM-REPOSITION

ICD-10-PCS Code For Cecum: Procedure Code Group Overview

0DSL-TRANSVERSE-COLON-REPOSITION

ICD-10-PCS Code For Transverse Colon: Procedure Code Group Overview

0DSM-DESCENDING-COLON-REPOSITION

ICD-10-PCS Code For Descending Colon: Procedure Code Group Overview

Showing 1–10 of 13

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Ascending Colon: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Ascending Colon: Procedure Code Group Overview policy alerts

Ascending Colon Reposition Procedure Overview

Code Attributes

ICD-10-PCS Code For Ascending Colon: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Ascending Colon: Procedure Code Group Overview policy alerts

Ascending Colon Reposition Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers repositioning procedures on the ascending colon?

What are the approach-specific codes within the 0DSK group?

Why is accurate coding of 0DSK procedures important for inpatient care?

Under which ICD-10-PCS section and body system do these codes fall?

Which DRGs are related to procedures in the 0DSK group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers repositioning procedures on the ascending colon?

What are the approach-specific codes within the 0DSK group?

Why is accurate coding of 0DSK procedures important for inpatient care?

Under which ICD-10-PCS section and body system do these codes fall?

Which DRGs are related to procedures in the 0DSK group?

References